<i>Acinetobacter calcoaceticus</i>Foot Infection Secondary to High-pressure Injection Injury: A Case Report

SAGE Publications - Tập 8 Số 4 - Trang 216-222 - 1988
John Wesley Dietz1, Jacob Allan Goodrich2, William Bruce Brown2
1Orthopaedic Surgery Service, Madigan Army Medical Center, Tacoma, WA 98431.
2Department of Orthopaedic Surgery, McDonald Army Community Hospital, Fort Eustis, VA.

Tóm tắt

Injection injuries are surgical emergencies occurring most often in the hand and frequently associated with widespread tissue necrosis and infection. This report presents a case of high-pressure injection injury of the foot associated with extensor hallucis longus laceration and infection with Acinetobacter calcoaceticus variant anitratus. This injury occurred with a high-pressure “water-blaster” tool used to remove paint from pavement. Similar injuries in the foot have not been reported. A. calcoaceticus is a widely distributed normal flora of low virulence, often waterborne, which is rarely found in orthopaedic infections in young healthy patients. Clinical features of high-pressure injection injuries, principles of treatment, and the characteristics of A. calcoaceticus are reviewed.

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